Individual provider Active NPI

Katie Cheng

  • Psychiatry Physician
  • Mountain View, CA
National Provider Identifier
1013394121
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
201602263 Issued in NC
Practice address
303 Bryant St
Mountain View, CA 94041-1552
Phone
(888) 995-2230
Fax
(650) 242-7520
NPI assigned
Apr 28, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 201602263 NC Primary

Addresses

Primary practice location

303 Bryant St
Mountain View, CA 94041-1552

Mailing address

303 Bryant St
Mountain View, CA 94041-1552
Phone (888) 995-2230

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200630003447 NC Practitioner - PsychiatryPractitioner - Neurology 1850611872 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Neurology
Education
University of North Carolina at Chapel Hill School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carolinas Medical CenterGroup PAC ID 4789597477, 1,057 clinicians

Practice addresses (Care Compare)

1000 Blythe Blvd
Charlotte, NC 28203-5812
Phone (704) 355-2000

501 Billingsley Rd
Charlotte, NC 28211-1009
Phone (704) 444-2400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
201602263NCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mindstrong Health Services, PC Psychiatry CurrentSince Dec 13, 2020 Accepting new patients
Carolinas Medical Center Psychiatry CurrentSince Jul 1, 2020 Accepting new patients
Mindstrong Health Services Co PC Psychiatry CurrentSince Nov 21, 2021 Accepting new patients
Carolinas Medical Center CurrentSince Jul 1, 2020 Accepting new patients
Carolinas Medical Center Current Accepting new patients

Locations

303 Bryant St
Mountain View, CA 94041
Phone (469) 217-4118

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

920 Church St N
Concord, NC 28025
Phone (704) 403-3000

Interoperability endpoints

  • Direct secure messaging: kcheng500058@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1430179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1013394121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 BRYANT ST",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940411552",
            "telephone_number": "888-995-2230",
            "fax_number": "650-242-7520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 BRYANT ST",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940411552",
            "telephone_number": "888-995-2230",
            "fax_number": "650-242-7520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHENG",
        "first_name": "KATIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-28",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "201602263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

Verify at the official NPI Registry.